# ROBERT A EBERT, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467684175
- **Authorized official:** DR. ROBERT A EBERT DDS (OWNER)
- **Authorized official phone:** (208) 664-2912

## Contact information

- **Practice address:** 910 W IRONWOOD DR, COEUR D ALENE, ID 83814-2601
- **Practice address phone:** (208) 664-2912
- **Mailing address:** 910 W IRONWOOD DR, COEUR D ALENE, ID 83814-2601
- **Mailing address phone:** (208) 664-2912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2009
- **Last updated:** 08/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000283400 | — | ID |
| 05 | — | 9200508/181205 | — | ID |